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KMID : 1148020140390020054
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조선대학교의대논문집
2014 Volume.39 No. 2 p.54 ~ p.59
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Efficacy of Anchoring Suture after Total Gastrectomy with Esophagojejunostomy
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Kim Ji-Hoon
Kim Seong-Soo
Min Young-Don
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Abstract
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Esophagojejunostomy after total gastrectomy shows high mortality and morbidity. Complication after esophagojejunostomy
was caused by constant tension on esophagojejunostomy in erect-position, resulting in disturbance of blood flow in the anastomotic site. The purpose is to evaluate efficacy of anchoring sutures. Medical charts of patients diagnosed with gastric cancer who underwent total gastrectomy from 1998 to 2008 were analyzed retrospectively. Anchoring suture between jejunum and diaphragm after esphagojejunostomy was performed in all patients. A total of 155 patients were enrolled. Esophagojejunostomy leakage 3, revision operation 2, and conservation 1. Esophagojejunostomy stenosis 1, which was improved by balloon. This procedure could protect the esophagojejunostomy site from traction force.
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KEYWORD
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Total gastrectomy, Esophagojejunostomy, Complication, Anchoring suture
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